Individual
MRS. ERIN MELISSA QUANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMP
Contact information
Practice address
11602 135TH STREET CT E, PUYALLUP, WA 98374-3161
(253) 224-1308
Mailing address
11602 135TH STREET CT E, PUYALLUP, WA 98374-3161
(253) 224-1308
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00008848
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105848
DEPT. OF L & I NUMBER
WA
01
—
5336QU
REGENCE RIDER NUMBER
WA
Enumeration date
03/20/2007
Last updated
07/08/2007
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